Abstract
Acute cholangitis (AC) can be suspected in a patient with clinical or laboratory signs of infection and abdominal pain, jaundice, or a former history of cholangitis, especially when a biliary stent is implanted.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- AC:
-
Acute cholangitis
- Amp/Sul:
-
Ampicillin/sulbactam
- CRP:
-
C-reactive protein
- CT:
-
Computed-tomography
- DDx:
-
Differential diagnosis
- Dori:
-
Doripenem
- ERCP:
-
Endoscopic retrograde cholangiopancreatography
- Erta:
-
Ertapenem
- EST:
-
Endoscopic sphincterotomy
- Gen.:
-
Generation
- ICU:
-
Intensive care unit
- Imi:
-
Imipenem-cilastatin
- Mero:
-
Meropenem
- MRCP:
-
Magnetic resonance cholangiopancreatography
- PCT:
-
Procalcitonin
- Pip/Taz:
-
Piperacillin/tazobactam
- T:
-
Temperature
- US:
-
Ultrasound
- Vanco:
-
Vancomycin
- WBC:
-
White blood count
Bibliography
EASL. Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones. J Hepatol. 2016;65(1):146–81.
Gomi H, Solomkin JS, Schlossberg D, Okamoto K, Takada T, Strasberg SM, et al. Tokyo Guidelines 2018: antimicrobial therapy for acute cholangitis and cholecystitis. J Hepatobiliary Pancreat Sci. 2018;25:3–16.
Karvellas CJ, Abraldes JG, Zepeda-Gomez S, Moffat DC, Mirzanejad Y, Vazquez-Grande G, et al. The impact of delayed biliary decompression and anti-microbial therapy in 260 patients with cholangitis-associated septic shock. Aliment Pharmacol Ther. 2016;44:755–66.
Kiriyama S, Kozaka K, Takada T, Strasberg SM, Pitt HA, Gabata T, et al. Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholangitis (with videos). J Hepatobiliary Pancreat Sci. 2018;25:17–30.
Miura F, Okamoto K, Takada T, Strasberg SM, Asbun HJ, Pitt HA, et al. Tokyo Guidelines 2018: initial management of acute biliary infection and flowchart for acute cholangitis. J Hepatobiliary Pancreat Sci. 2018;25:31–40.
Mukai S, Itoi T, Baron TH, Takada T, Strasberg SM, Pitt HA, et al. Indications and techniques of biliary drainage for acute cholangitis in updated Tokyo Guidelines 2018. J Hepatobiliary Pancreat Sci. 2017;24:537–49.
Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ, et al. Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. Clin Infect Dis. 2010;50:133–64.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Schneider, M.D. (2020). Acute Cholangitis (Algorithm). In: Mutignani, M., Albert, J.G., Fabbri, C. (eds) Endotherapy in Biliopancreatic Diseases: ERCP Meets EUS. Springer, Cham. https://doi.org/10.1007/978-3-030-42569-2_53
Download citation
DOI: https://doi.org/10.1007/978-3-030-42569-2_53
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-42568-5
Online ISBN: 978-3-030-42569-2
eBook Packages: MedicineMedicine (R0)